Hafnarstræti 18, 600 Akureyri, ground floor of the building. Old two-story wooden structure, built in 1920. Main entrance is on the street, no stairs. No elevator. Street parking available. Building has a simple fire alarm system. Current conditions: 7°C, overcast, good visibility. GPS coordinates: 65.6824° N, 18.0912° W. Nearest landmark: Akureyri Art Museum.
65-year-old male, experiencing sudden onset of chest pain. Primary symptoms: Severe, crushing chest pain radiating to left arm, shortness of breath, diaphoresis. Secondary symptoms: Nausea, dizziness. Patient is pale and anxious. Patient sitting in a chair in the living room. Medical history: Hypertension, hyperlipidemia, type 2 diabetes. Medications: Metformin 1000mg twice daily, Atorvastatin 20mg daily, Lisinopril 10mg daily. No known allergies. Last meal was a light lunch at 12:00.
Timeline: 1345 hours: Patient began experiencing mild chest discomfort while resting 1350 hours: Chest pain intensified, radiating to left arm, shortness of breath began 1355 hours: Patient became diaphoretic and nauseated 1358 hours: Patient called his son for help 1400 hours: Son arrived, called emergency services 1402 hours: Current time, patient is sitting in chair, reporting severe chest pain Prior Events: Patient has a history of stable angina, but this episode is significantly worse. No recent changes in medications. Last medical check-up 6 months ago, routine follow-up. Patient lives with his wife, son lives nearby.
Initial Impression: Suspected Acute Coronary Syndrome (ACS) - Possible Myocardial Infarction Justification for F2 Classification: - High probability of life-threatening condition based on symptoms and risk factors - Severe chest pain, radiating to left arm, diaphoresis, shortness of breath - Time-sensitive condition requiring prompt medical evaluation and intervention Differential Diagnoses: 1. Acute Myocardial Infarction (high probability) 2. Unstable Angina (high probability) 3. Aortic Dissection (less likely, no reported back pain) 4. Pulmonary Embolism (less likely, no pleuritic pain) 5. Esophageal Spasm (less likely, severity of pain and associated symptoms) Required Actions: - Dispatch of ground EMS with ALS capabilities - ECG monitoring and interpretation - Administration of aspirin if no contraindications - Preparation for transport to nearest hospital with cardiac services